Familial Mediterranean Fever (FMF) is the most common familial monogenic autoinflamatory disease characaterized by recurrent fever and polyserositis. Erysipelas like erythema is a typical but rare cutaneous finding in FMF and characterized by tender erythematous plaques located on lower limbs, leg, dorsum of the foot and ankle. The lesions can be misdiagnosed as eryspileas especially when seen as a initial symptom of FMF. We present here an exa mple of erysipelas like erythema accompanying FMF attack as a result of non-adherence to oral colchicine treatment.